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General NPI Number Information
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NPI Number | 1063480044
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Entity Type | Individual
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Provider Name | CARLOS A QUILES APONTE M.D
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Gender | Male
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 07/15/2009
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Provider Practice Location Address
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Address Line | AVE ANTONIO R BARCELO # KM716 CARR 14
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City | CAYEY
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State | PR
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Zip | 00736-3717
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Country | US
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Telephone | 787-738-5764
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Fax |
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Provider Business Mailing Address
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Address Line | MONTELLANO PMB 1244-6400
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City | CAYEY
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State | PR
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Zip | 00736-4210
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Country | US
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Telephone | 787-430-0663
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 14384
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License Number State | PR
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